Nursing Home News — Page 269

One patient with chronic obstructive pulmonary disease and recurrent pneumonia had no respiratory care plan.

The March 31 incident at Tweeten Lutheran Health Care Center exemplified a pattern federal inspectors documented throughout the day.

examined the resident on January 26, 2026, but told inspectors she wasn't informed about the culture results at that time.

The March 31 inspection revealed systematic problems with food temperature management at the 535 McFarland Road facility.

Resident R7 was taken to the hospital for evaluation and found to have no injuries through radiological testing before returning to Warren Manor.

The violation centered on the nursing home's failure to follow federal requirements for written discharge notices.

The same inspection revealed staff left temperature monitoring logs mostly blank for another resident's personal refrigerator.

The September 30, 2023 incident at Sunview Respiratory and Rehabilitation began when Resident #2 refused care from a certified nursing assistant.

In February alone, Resident E missed scheduled showers on five separate dates: February 11, 14, and 25.

The resident, identified only as #153, received the bipolar diagnosis in April 2025, eight months after admission in August 2024.

The verbal abuse occurred at La Bella of Woodstock after hospice staff had bathed the resident the previous day.

Inspectors found handwashing stations without paper towels, open food containers exposed to contamination, and food served below required temperatures.